Presentation

You are a final year medical student on a General Practice attachment. Dr. McPhee is the supervising doctor.

Mr. Green, a 56-year-old man, attends the clinic that morning. He complains of nocturia and increased thirst. You take a look at the medical notes; Mr. Green has a history of hypertension, well-controlled on ramipril. An echocardiogram performed last year showed a normal left ventricular ejection fraction of 60% (normal >55%), with no structural heart disease. Physical examination is unremarkable. His BMI is 27 kg/m2. You decide to perform a urinalysis, which shows 1+ glucose, negative for blood, ketones, and proteins; no inflammatory cells, casts or crystals on urine microscopy.

You decide to check Mr. Green's fasting blood glucose level and HbA1c before deciding on the best course of action. Laboratory results show a fasting blood glucose level of 152 mg/dL and 148 mg/dL (NR <126 mg/dL). His HbA1c is 7.8%. eGFR is 78 mL/min/1.73 m2; AST/ALT are within normal limits.

Which drug should be prescribed for Mr. Green?

  • Ξεκινήστε βυθίζοντας την πιπέτα μέσα στο υγρό που σκοπεύετε να αναρροφήσετε [undo]
  • MAC [undo]
  • LB [undo]
  • Continue to consider the movement of water [undo]
  • EMB [undo]
  • Έλεγχος για κακοήθεια, φυματίωση και ηπατίτιδες επανέλεγχος λευκωματουρίας και νεφρικής λειτουργίας [undo]
  • Έναρξη ανοσοκατασταλτικής αγωγής [undo]
  • Cultural Bridging / Critical Path [undo]
  • Trăsături [undo]
  • Preparation of liquid cultures [undo]
  • Permanently stop taking metformin [undo]
  • Ζητώ καρυότυπο [undo]
  • Decision Point [undo]
  • Heart rate [undo]
  • Sacubitril-valsartan (ARNI) [undo]
  • Χαρακτηριστικά [undo]
  • EMB [undo]
  • Tell the patient to change devices without giving proper guidance. [undo]
  • Răspunsul 2 [undo]
  • Start a therapy [undo]
  • Option 2 [undo]
  • Lab coat may transfer hazardous materials to the outside general area and contaminate the area [undo]
  • Ask local cadre to help [undo]
  • recovery is going take time, but still can be achieved with routine physiotherapy [undo]
  • To avoid our Professor telling us off [undo]
  • Further Developments [undo]
  • Διπλοειδές και Απλοειδές [undo]
  • Μετά από τη διάγνωση [undo]
  • US examination [undo]
  • Pioglitazone [undo]
  • Thank you for sharing that—it’s completely understandable to feel emotional about this [undo]
  • Πιθανή διάγνωση [undo]
  • Βιοχημικές/ αιματολογικές εξετάσεις [undo]
  • Επικρατές και υπολειπόμενο [undo]
  • ΔΙΑΓΝΩΣΗ [undo]
  • Ask the patient to take a clear photo of the wound (10–15 cm distance, adequate lighting) and upload it to the app [undo]
  • Răspunsul 3 [undo]
  • Presentation [undo]

Map: Michael Green_GEMD_2 (1116)
Node: 21110
Score:

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